東洋医学と西洋医学を利用する患者の疾病行動分析

Abstract

Health-related behavior and disease patterns of patients who were cured by either Oriental or Western Medicine were analyzed by a questionnaire survey data conducted on 455 patients in Seoul, Korea, October 1991. These objects were patients who consisted of 218 patients visiting with Oriental Hospitals (POH) and 237 patients in Western hospitals (PWH). The disease patterns of these two groups were significantly different. Diseases of patients who visited with POH were mainly diseases of the circulatory system (70.97%) and diseases of musculoskeletal system and connective tissue (11.14%), whereas diseases of PWH patients were occupied by diseases of the digestive system (10.35%), injury and poisoning fractures (11.67%), and also the circulatory system (10.88%) in the codes of ICD-9. As to comparisons in prevalence of diseases between POH and PWH, transient ischemic attack was prevalent in POH, and diabetes mellitus was dominant in PWH, even though cerebral embolism and hemorrhage were common in both. However, female and elderly patients visited more easily with POH than male and younger generations. It has been made clear that the threshold of visiting POH was independent from sociocultural attributes of residence, income, education, type of health insurance and religion. When this survey questioned also whether Korean Government should promote the integration of Oriental and Western Medicine in the medical policy, 67.8% of the POH patients and 54.9% of the PWH patients respectively agreed it.